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The Georgia Scroll
April 1999

Has Your Facility Changed its "Modus Operandi"
to Succeed With Managed Care?

In the Managed Care environment, preserving traditional hospitals of caring for the sick is not an option. We all have to accept the loss of hospital revenues to gain the managed-care revenues that come from keeping people well. The better your organization can manage the health of a defined population, and you can market these services within your service area, the more you will succeed under managed care.

Have you completed a "community health assessment"? An assessment can provide you the information on the services that are most needed in your area. This information can then drive your businessplan. Once you have your plan in place, you must then develop methodology to support this plan. Realize that under today’s environment, most record keeping is episodic. Will this provide the information that you need to manage a person’s health long term or do you need to have information stored in a longitudinal health record –a lifetime clinical record? An LCR allows you to manage care by providing your members access to their health records over time. It also allows caregivers the ability to summarize pertinent clinical data using common language throughout your enterprise. Making this change takes time and planning. Have you begun this journey?

 

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Last modified: June 22, 2001